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1972850253
JODIE FERN GALLOWAY
LAS CRUCES, NM
NPI
1972850253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-05916)
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
-- JODIE FERN GALLOWAY LMSW
1913 BROMILOW ST
LAS CRUCES, NM 88001-5152
Phone number: 575-202-1954
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Mailing Address
-- JODIE FERN GALLOWAY LMSW
1913 BROMILOW ST
LAS CRUCES, NM 88001-5152
Phone number: 575-202-1954
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